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Stages of Development for the modern Primary Health Nurse |
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1. Control of disease by cleanliness 2.Scientific Control of Communicable Disease 3.Period of health education |
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5 principals of primary health care |
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Accessibility Intersectoral collaboration Technology Health Promotion Public Participation |
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4 Key Pillars of Primary Health Care |
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Working In teams Sharing Info Access Healthy Living |
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Study of the distribution & determinants of health-related states or events in specified populations, & the application of this study to control health problems |
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Describes the distribution of health events (who, what, where, when) |
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searches for determinants of health events (how, why) |
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1850s, London- father of epidemiology |
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total number of events in a population in a designated time period |
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Number of new events in a population over a specific time period |
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Determines if a relationship or association exists b/w a health condition and a specific factor |
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Determines difference b/w incidence rates for those exposed and those not exposed to risk factor |
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Canadian Community Health Nursing (CCHN) Standards of Practice |
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Promoting Health Building Capacity Building Relationships Facilitating Access & Equity Professional Responsibility/ Accountability |
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Ottawa Charter, 5 Strategies |
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Definition
Build Healthy Public Policy Create Supportive Environments for Health Strengthen Community Action for Health Develop Personal Skills Re-orient Health Services |
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Diffusion of Innovation Theory |
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Definition
One tries to get the "innovators" or "early adopters" to buy into the new innovation (ex. immunization). These people then spread the word and apply pressure on other groups of people. Once you get the innovators and early adopters on board, you may change your msg to address concerns of the conservative groups |
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5 Elements Affecting Rate of Diffusion |
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Definition
1. Innovation Attributes 2. Communication Channels 3. Social System 4. Innovation Process 5. Adopter Categories |
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Types of Innovation Decisions |
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Optional Collective Authority |
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Strategies to facilitate Innovation Adoption |
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1. Modeling 2. Incentives 3. Guided Mastery 4. Self-Application of acquired skills 5. Social Contracting |
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to initiate, manage, and evaluate resources needed to promote the activities necessary to promote the clients optimal level of well-being |
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Public Health Nursing Goal: |
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to improve the health of the community by disease prevention and promoting healthy behaviors |
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Occupational Health Nursing |
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Focus on health promotion, illness, injury prevention, and protection from environmental hazards |
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The practice of nursing globally when health and legal systems intersect |
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A registered nurse with specialized knowledge, who is called to ministry and affirmed by a faith community to promote health, healing and wholeness |
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Theory of Planned Behavior |
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Definition
Human action is guided by: 1) Behavioral Beliefs (Attitude toward the behavior) 2. Normative Beliefs (subjective norm) 3. Control Beliefs (Perceived Behavioral Control) --> these lead to a behavior intention, resulting in the behavior |
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Helps deal with compliance -based on behavioral science theory and research and adapted to examine health problems and behavior. A decision model that helps explain and predict health behaviors with focus on attiudes -->Perceived benefits, barriers, susceptibility, and severity contribute to likelihood of taking preventive action |
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An individual performance of a given behavior is determined by his/her readiness to change. Includes precontemplation, contemplation, preparation, action, maintenance |
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Person's individual characteristics, experiences, behavior-specific cognitions, affect, and past behavioral outcomes determine one's performance or behavior. |
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Priority is placed on decreasing negative consequences of a behavior, rather than on eliminating the behavior all together. |
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Coherent care with seamless transitions |
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Continuity of Care Checklist |
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Definition
1. Informational Continuity 2. Relational Continuity 3. Management Continuity 4. Barriers to Continuity |
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Building Healthy Public Policy (Part of Ottawa Charter of Rights 5 Strategies) |
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Definition
Puts health on the agenda policy makers in all sectors and at all levels, directing them to be aware of health consequences of their decisions and to accept their responsibilities for health -coordinated action that leads to health, income, and social policies, that foster greater equity |
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Create Supportive Environments for Health (Ottawa Charter, 5 Strategies) |
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Definition
Changing patterns of life, work, and leisure have a significant impact on health -Living and working conditions should be safe, stimulating, satisfying, and enjoyable |
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Strengthen Community Action for Health (Ottawa Charter, 5 strategies) |
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Work through concrete and effective community action in setting priorities, making decisions, planning strategies, and implementing them to achieve better health -Heart of process: empowering communities |
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Develop Personal Skills (Ottawa Charter, 5 Strategies) |
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Support personal and social development through providing information, education, for health, and enhancing life skills -This will increase options available to people to exercise more control over their health |
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Re-orient Health Services (Ottawa Charter, 5 Strategies) |
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The responsibility for health promotion in health services is shared among individuals, community groups, health professionals, health service institutions and government- must work towards a health care system which contributes to the pursuit of health |
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Promoting Health (CCHN Standards of Practice) |
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Health is dynamic process of physical, mental, spiritual, and social well-being -Health is a resource for everyday life |
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Building Capacity (CCHN Standards of Practice) |
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Process of actively involving individuals, groups, organizations, and communities in all phases of planned change for the purpose of increasing their skills, knowledge, and willingness to take action on their own future -identify relevant issues and build off of strengths |
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Building Relationships (CCHN Standards of Practice) |
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Definition
Based upon the principles of connecting and caring |
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Facilitating Access and Equity (CCHN Standards of Practice) |
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CHN embrace philosophy of primary health care and collaboratively identify and facilitate universal and equitable access to available services -Advocacy is a key strategy to meet identified needs |
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Professional responsibility/ accountability (CCHN Standards of Practice) |
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Definition
Works with a high degree of autonomy in providing programs and services -accountable to strive for excellence, to ensure that their knowledge is evidenced-based, current, and maintains competence, and for the overall quality of their own practice |
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Better Tx to prolong life |
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Poor tx= deaths, or a cure is found |
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Victorian Order of Nurses |
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Canada's largest, national, not-for-profit, charitable home and community care organization |
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Owner and operator of business that offers nursing services to the public -receive private payment for services |
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RN Hired or recognized by a faith community to carry out an intentional health promotion ministry |
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Categories of Innovation Adopters |
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Definition
1. Innovators 2. Early Adopters 3. Early Majority 4. Late Majority 5. Laggards |
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